| NPI | 1225846173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN294745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 37238) |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2025-06-14 |